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Piles "Hemorrhoids" & Treatment

Piles or Hemorrhoids are inflamed and swollen collective tissue in the anal area. These piles may be internal or external and they vary in sizes. Piles may cause unnoticeable symptoms in some people, but these symptoms may become obvious when the inflammation increases.

Piles can come at any age, but piles or hemorrhoids are common during pre&post pregnancy. The exact cause of these piles or hemorrhoids is unclear, but doctors believe that it’s due to hormonal changes. The good thing is that they may disappear or improve after delivery

Symptoms of Piles

Piles can cause a slight pain and itching sensation while defecating, but with time, these symptoms may become obvious;

A lump in or around the anus

Bleeding during bowel movement or you can notice it on the toilet tissue

Itchy and sore skin around the anus

Pain during or after bowel movements

Anal fistula

Watery discharge and/mucus from the anus

A feeling that your bowels haven’t completely emptied

Inability to control bowel movements

Types of Piles

Generally, piles or hemorrhoids are categorized as;

Internal Piles/Hemorrhoids- These develop in the anal canal and rectum

External Piles/Hemorrhoids- These develop outside the anal canal, near the anal opening

The grading of the Internal piles is as below, but you require piles treatment clinic lists in India for a proper diagnosis for effective treatment;

Grade 1

At this stage, there is minor itching and pain since the piles are in the interior anal canal and there are no lumps

Grade 2

At this stage, piles are similar to those in grade 1, but there is bleeding. Also, small protrusion will emerge out and then revert to their original position during bowel movement

Grade 3

You will experience all the piles-related symptoms at this stage. These piles are referred to as prolapsed hemorrhoids, appear outside the anus, and an individual may feel them hanging from the rectum

Grade 4

Piles at this stage have all the piles symptoms, remain large and outside the anus. They require treatment.

Piles Treatment

Various approaches can be utilized for Piles Treatment in India and they include self-treatment, surgical and non-surgical treatment methods.

Non-surgical treatment approaches

These are completely outpatient treatments;

Sclerotherapy

In this treatment, oily Phenols are injected into the base of the pile lumps which causes them to shrink. This treatment approach is best suitable for grade 2 & 3 piles

Banding

In this, the doctor will place a small elastic band around the base of the pile, which eventually cuts off the blood supply. The pile will later fall off within a few days and this approach is suitable for all grades other than grade 4

Bipolar diathermy & Direct current electrotherapy

In this, an electrical current is used to destroy the piles

Infra-red coagulation/laser treatment

This treatment utilizes infra-red light to seal the veins above the pile, causing it to shrink.

Thread Therapy (Ksahrasutra)

This Ayurvedic treatment approach utilizes Ayurvedic medicines which are coated on the threads and then tied to the hemorrhoids to shrink it.

Doppler-guided haemorrhoidal artery ligation

In this approach, an ultrasound probe is used to search for an artery in the anal canal that can be stitched up to limit blood supply to the piles

Surgical Approaches

Severe or piles that cause complications require surgical treatment approaches, but you need to consider the best piles treatment clinics in India such as Satyam Hospital for Piles

Stapled haemorrhoidopexy

This procedure only requires the stitching up of the area with piles above your anal canal

Haemorrhoidectomy

In this approach, the oversized lumps causing bleeding are surgically removed. This procedure is performed under local anesthesia or sedation, but complications may include difficulty in passing out stool or a urinary tract infection